Networking day presentation 2017 john fox

1. OCT and other projects
John Fox
Senior Implementation Lead
NDESP
Public Health England leads the NHS Screening Programmes

2. OCT Surveillance Clinics
• Clear clinical benefits in using OCT for detection and
monitoring of macular oedema
• Building evidence base on cost effectiveness
• Availability of OCT in some DESP settings
• Local development and implementation
• Not currently included in DES service specification
6 months in....!2

3. National Screening Committee & Section 7A
UK NSC advises ministers and NHS on screening aspects
based on robust evidence
Appraises the effectiveness of a screening programme
including: in terms of:
the condition viability
the test effectiveness
the treatment appropriateness
Public Health functions agreement (S7A) is an agreement
between the Secretary of State for Health and NHS
England for commissioning and provision of services
6 months in....!3

4. OCT Surveillance Clinics
Next steps:
• working group
• review evidence and local practice examples
• best practice guidance
6 months in....!4

5. National Paediatric DiabetesAudit
Aims to improve the care provided to children with
diabetes, their outcomes and the experiences of patients
and families.
Analysis of data provided by healthcare professional
working in Paediatric Diabetes Units in England and Wales
DESP data included:
retinal screening date
retinal screening result
6 months in....!5

6. National Paediatric DiabetesAudit
6 months in....!6 Data taken from the NPDA report 2015/16

7. National Paediatric DiabetesAudit
• Data completeness and quality improving but variable
• Young people with Type 1 over 12 years old
• 35.5% received all key care processes
• 13.8% had abnormal eye screening results
• 6.4% of 12 year olds screened had abnormal results
• 20.5% of 17 year olds screened had abnormal results
Working with RCPCH NPDA team
• Improve data sharing process
• Improve links between DESPs and Paediatrics
6 months in....!7 Data taken from the NPDA report 2015/16

8. Public Health England leads the NHS Screening Programmes